Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... clonus (slow horizontal ... #Symptoms #spectrum ... #signs #diagnosis
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... pattern of spread, B symptoms ... B-Cell ~90% β€’ Low ... pathophysiology #Hematology ... #differential #
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration β€’ Symptoms ... WBC >100k, + lab signs ... , Elevated Cr, Low ... #TLS #diagnosis ... #management #hematology
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Overwhelming clinical syndrome ... : HLH signs and ... symptoms can mimic ... Splenomegaly β€’ Low ... management #treatment #hematology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 β€’ Eccentric soft-tissue densities surrounding the third proximal interphalangeal
commonly intermediate-low ... mass and NO prior signs ... Differential diagnosis ... Tendon Sheath - Nodular ... #msk #rheumatology
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: β€’ ... β€’ Locked-in syndrome ... β€’ Vestibulo-ocular ... β€’ Examine for signs
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... very remarkable w/differential ... followed by long slow ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... and vasomotor symptoms ... Tx: Small and low ... gastroenterology #diagnosis ... #differential
Rheumatoid Arthritis - Signs and Symptoms
 β€’ Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans
 β€’ Pulmonary:
and Symptoms β€’ ... Ocular: Keratoconjunctivitis ... Thrombocytosis, Felty's syndrome ... #Symptoms #diagnosis ... #rheumatology
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
type 1-4, Lowe ... Syndrome (Oculo-Cerebro-Renal ... Stones #pediatrics #nephrology ... #differential # ... diagnosis